Matthew Taylor Vander Kooi, DPT in Surprise, AZ - Medicare Physical Therapist Provider

Matthew Taylor Vander Kooi, DPT is a medicare enrolled "Physical Therapist" provider in Surprise, Arizona. His current practice location is 16811 N Litchfield Rd Ste 101, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 322-0654.

Matthew Taylor Vander Kooi is licensed to practice in Arizona (license number LPT-30902) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477104529.

Contact Information

	Matthew Taylor Vander Kooi, DPT
	16811 N Litchfield Rd Ste 101, Surprise, AZ 85374-7062
	(623) 322-0654
	(623) 322-0664

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Taylor Vander Kooi
Gender	Male
Speciality	Physical Therapist
Location	16811 N Litchfield Rd Ste 101, Surprise, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477104529
Provider Enumeration Date: 09/20/2019
Last Update Date: 09/20/2019

Medicare PECOS Information:

PECOS PAC ID: 4385976133
Enrollment ID: I20221020001099

Medical Identifiers

Medical identifiers for Matthew Taylor Vander Kooi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477104529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	LPT-30902 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew Taylor Vander Kooi allows following entities to bill medicare on his behalf.

Provider Name	Paradigm Physical Therapy And Wellness Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386651412 PECOS PAC ID: 3476524802 Enrollment ID: O20040802000232

Provider Name	Active Solutions Therapy Serv Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1720075880 PECOS PAC ID: 9638132830 Enrollment ID: O20041109000489

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew Taylor Vander Kooi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Matthew Taylor Vander Kooi, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222	Matthew Taylor Vander Kooi, DPT 16811 N Litchfield Rd Ste 101, Surprise, AZ 85374-7062 Ph: (623) 322-0654

Reviews and Comments

Physical Therapist in Surprise, AZ

Ashley Rubenstein, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14239 W Bell Rd Ste 104, Surprise, AZ 85374 Phone: 623-600-8333
Dr. Kathleen Nicole Shafer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15543 N Reems Rd, Surprise, AZ 85374 Phone: 623-975-5374
Nicholas Russo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16811 N Litchfield Rd Ste 101, Surprise, AZ 85374 Phone: 602-313-4045 Fax: 623-322-0664
Northwest Orthopedic & Sports Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 14800 W Mountain View Blvd Ste 260, Surprise, AZ 85374 Phone: 623-556-5013 Fax: 623-556-9290
Elana Trejo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 13933 W Grand Ave, Surprise, AZ 85374 Phone: 623-474-3952
Arizona Mobile Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 15239 W Alexandria Way, Surprise, AZ 85379 Phone: 480-698-6049 Fax: 480-371-2743
Ms. Patricia Ann Graham, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15802 North Parkview Place, Surprise, AZ 85374 Phone: 623-876-7022 Fax: 623-876-7060

Matthew Taylor Vander Kooi, DPT - Medicare Physical Therapist in Surprise, AZ